<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="content-type" content="text/html; charset=utf-8" />
<title>查看退款单 - Powered By ${systemConfig.systemName}</title>
<meta name="Author" content="webmall Team" />
<meta name="Copyright" content="webmall" />
<link rel="icon" href="favicon.ico" type="image/x-icon" />
<#include "/WEB-INF/template/common/include.ftl">
<link href="${base}/template/shop/css/member_center.css" rel="stylesheet" type="text/css" />
<script type="text/javascript" src="${base}/template/admin/js/list.js"></script>
</head>

<body class="memberCenter">
	<#include "/WEB-INF/template/shop/header.ftl">
	<div class="body receiverList">
		<div class="bodyLeft">
			<#include "/WEB-INF/template/shop/member_center_left.ftl">
		</div>
		<div class="bodyRight">
		<div class="top">
			<h3><span class="icon">&nbsp;</span>填写退款单</h3>
		</div>
        <form  id="inputForm" class="validate"  action="refund!save.action" method="post">
            <input type="hidden" name="refund.order.id" value="${(refund.order.id)!}" />
		<table class="inputTable">
			<tr>
				<th>
					订单编号:
				</th>
				<td>
                   ${(refund.order.orderSn)!}
				</td>
                <th>
					联系方式:
				</th>
				<td>
                    <input type="text" name="refund.cellnumber" class="formText {required: true} phone" value="${(refund.cellnumber)!}" />
				</td>
			</tr>
            <tr>
                 <th>
					退款类型:
				</th>
				<td>
                     <select name="refund.refundType"  class="formText {required: true}">
                         <option value="goodsIssue">
                             商品问题
                         </option>
                         <option value="senvendays">
                         7天无理由退货
                         </option>
                         <option value="noReceived">
                             未收到商品
                         </option>
                         
                     </select>
				</td>
				 <th>
					退款要求:
				</th>
				<td>
                     <select name="refund.refundReq"  class="formText {required: true}">
                         <option value="retGoodsAndCache">
                             退货退款
                         </option>
                         <option value="exchange">
                             换货
                         </option>
                     </select>
				</td>
			</tr>
            <tr>
                 <th>
					商品状态:
				</th>
				<td>
                     <select name="refund.goodsStatus"  class="formText {required: true}">
                         <option value="noRecevied">
                            已收货
                         </option>
                         <option value="recevied">
                       	未收货
                         </option>
                     </select>
				</td>
				 <th>
					收货类型:
				</th>
				<td>
                     <select name="refund.isSelfSign"  class="formText {required: true}">
                         <option value="1">
                             被人签收
                         </option>
                         <option value="0">
                             他人代收
                         </option>
                     </select>
				</td>
			</tr>
			<tr>
				<th>
					备注:
				</th>
				<td colspans='3'>
                    <input type="text" name="refund.memo" class="formText {required: true}" value="${(refund.memo)!}" />
				</td>
			</tr>
		</table>
        <div class="blank"></div>
        <div class="buttonArea">
            <center>
       		 <input type="submit" class="formButton" value="申请退款" />
			<input type="button" class="formButton" onclick="window.history.back(); return false;" value="返  回" hidefocus="true" />
            </center>
		</div>
        </form>
	</div>
		<div class="blank"></div>
		<#include "/WEB-INF/template/shop/friend_link.ftl">
	</div>
	<div class="blank"></div>
	<#include "/WEB-INF/template/shop/footer.ftl">
</body>
</html>